HaLO Health as a Licensing Objective Data Tool Jez Bayes: CC, Public Health, Safer Cornwall, DAAT, Alcohol Strategy Lead. James Butler: CC, Safer Cornwall, Amethyst Intel/Analytical Team.
Introduction The brief… • Create a tool • Post code • Risk Level • Mapping • Recommended Actions? … simplicity for data access and ease of communication
Data Issues Anonymised Health Related Data: • Hospital Episode Statistics o LA Public Health Team data access? o NHS Kernow data sharing? o PHE access to the national picture? • Detailed targeting level of the data o MSOA (approx. 7200 pop) o LSOA (approx. 1500 pop) • Tool – LSOA level (as much as possible)
What we already have: 1/2 • Crime (Strategic Assessment/JSNA etc) o Alcohol related violence o Anti-social behaviour o Other alcohol related crime o Domestic Abuse • ED/MIU Attendances – alcohol related assault
What we already have: 2/2 • Alc Treatment Referrals • Alcohol related RTCs • Pharmacy / Morning after Pill • No. of people contracting STIs • Noise complaints • SHEU School pupils questionnaire
Gaps in the data: • Hospital Episode Statistics o Self Poisoning Pending o Unintentional injuries nationally o Liver disease o Malignant neoplasm This may not matter, except that condition specific LSOA info would be more geographically focussed than generic MSOA hospital data, but this could also create confidentiality issues. Pending • Ambulance call out statistics - locally Would be helpful!
5 Key Indicators • Alcohol related hospital admissions (pop) • Referrals into alcohol treatment (pop) • Alcohol related violence (area) • ASB /street drinking (area) • Alc related road traffic collisions (area) Plus: • LSOA / Post Code comparison / mapping • Other health statistics
How it works … Mapping Priority Areas • Post Code: TR11 3AA – Falmouth • Top 5 risk rating: Very High • ASB Map • Supporting Indicators
Cornwall HaLO Top 15 LSOAs
Licensing Objectives: 1. The prevention of crime and disorder 2. Public safety 3. The prevention of public nuisance 4. The protection of children from harm In Scotland there is a fifth licensing objective: “Protecting and improving public health” … … but is public health and wellbeing covered in “Public safety”?
IAS Licensing Act 10 Year Review: “The Act does not require licensing authorities to make decisions upon incontrovertible facts, and it does not prevent them from considering the wider geographic location within which a premises sits – indeed the High Court states that a venue’s impact, or potential impact, upon its wider location should be carefully considered. There is nothing in the Act, s 182 Guidance or case law that directly underpins the ‘premises by premises’ approach . ”
Cornwall HaLO Workshop Rather than hold a ‘Mock Hearing’ in which we proposed conditions based on our evidence, but with little/no experience of Licensing Hearings … … we held a Workshop in which we asked the experts to tell us what could be proposed on the basis of this evidence.
Cornwall HaLO Workshop To examine available data. To agree if it is evidential. To advise on its use for proposing conditions. To suggest conditions.
Cornwall HaLO CaSE 1 Large Pub / Club / Restaurant in central Newquay E01019029 in the 20% most deprived LSOAs in England.
Current Conditions: Supply of Alcohol On/Off: 10:00 – 04:00. Closes at 04:30 at busy periods (July/Aug). No alcohol sales on outside terrace 22:00. Some toughened/Polycarbonate glass. Capacity: Nightclub: 1172 Food Bar: 75 Public Bar: 480
Cornwall HaLO CaSE 1
Cornwall HaLO CaSE 1 HaLO Key Indicators: NB: This type of public health data has been used to object to a new premises opening , e.g. Stockton.
Cornwall HaLO CaSE 1 HaLO Key Indicators: Alc Rel Hosp Admissions HaLO Case 1 NB: MSOA
Cornwall HaLO CaSE 1 HaLO Key Indicators: ASB/Street Drinking HaLO Case 1
Cornwall HaLO CaSE 1 HaLO Key Indicators: Alc Treatment Referrals: HaLO Case 1
Cornwall HaLO CaSE 1 HaLO Key Indicators: Violence HaLO Case 1
Cornwall HaLO CaSE 1 HaLO Key Indicators: RTCs HaLO Case 1
Cornwall HaLO CaSE 1 The area: Residential, Town Centre, Family Tourism and Accommodation. HaLO Case 1
Cornwall HaLO CaSE 1 Recent Data: ARID (A&E/MIU ‘Alcohol and Assault Related Injuries Database.’) 12 months data: HaLO Case 1
Cornwall HaLO CaSE 1 Recent Data: ARID (A&E/MIU ‘Alcohol and Assault Related Injuries Database.’) 12 months data: HaLO Case 1 i.e. This is the venue in Cornwall and Devon named most frequently in connection with injuries from alcohol related violence, impacting on NHS and Emergency Services.
Cornwall HaLO CaSE 1 Recent Data: ARID (A&E/MIU ‘Alcohol and Assault Related Injuries Database.’) 12 months data: HaLO Case 1 i.e. This is the venue in Cornwall and Devon named most frequently in connection with injuries from alcohol related violence, impacting on NHS and Emergency Services. NB: This data is only for frequency and location of incidents, and doesn’t prove responsibility.
Other HaLO data:
Cornwall HaLO CaSE 1 Concerns: Current contact from Newquay Police. Taxi Rank, queueing for Club and Taxis. Narrow pavement, busy footfall and traffic. Glassing incident early 2016. Number of ARID & other incidents. Violent incidents in the last few years. Smoking areas, fast food outlets. A high risk combination of factors.
Cornwall HaLO CaSE 1 Possible Actions and /or Conditions: More control/security outside during opening hours to manage access, space and queues. Smoking area at rear. Removal of outside tables/chairs at peak periods. Redesign access to prevent crowding and delays. CCTV improvements. Taxis to be moved??? Glass removal.
Cornwall HaLO CaSE 1 Questions: 1: What value does the health data add to ‘normal’ crime and disorder/public safety etc Licensing incident evidence? 2: Is health data enough to propose conditions - or objections - on its own? 3: What conditions (glass, hours, etc) would be reasonable, based on this evidence?
Feedback: “ Most of this data was already accessible to Licensing RAs. But it was well presented in this format (neighbouring LSOA maps/tables). This made it easy to see the logic of how a premises relates to the health factors within its contextual locality .”
Real World Outcome: Police used this data (inc. ARID) in dialogue with the premises to help them decide to make various changes co-operatively, without resorting to a hearing/review. 1: All plastic glasses (exc. VIPs/Champagne!) 2: Revamped external smoking area at rear 3: Redesigned entrance for queue control 4: Discussion about relocating Taxi Rank
Cornwall HaLO CaSE 2 … … addressed noise in a town centre Pub in a mixed residential area:
Cornwall HaLO CaSE 2
Cornwall HaLO CaSE 2 HaLO Key Indicators:
Cornwall HaLO CaSE 2 HaLO Key Indicators: ASB/Street Drinking HaLO Case 2
Other HaLO data:
Real World Outcome The Hearing cut off date was too soon for this evidence to be submitted, but the Workshop and CC Legal Department accepted it as submissable. Pub allowed to keep Music License, reduced by 1 hour. BUT … a recent refurbishment did not apply any noise insulation, even on a thin top floor fire door to a neighbouring residential property. This is to be rectified based on an Env Health inspection and stipulations, at the premise’s expense.
Conclusions 1/2 Licensing partners were asked: 50% answered ‘No, this needs to be addressed in partnership with other RAs.’ 50% said ‘Yes, but ideally this needs to be addressed in partnership with other RAs.’
Conclusions 2/2 Cumulative Impact Zones: Under a Licensing Act amendment 2012 intended to reduce bureaucracy, Cumulative Impact Policies have to be reviewed every 5 years (previously 3).
Conclusions 2/2 Cumulative Impact Zones: Under a Licensing Act amendment 2012 intended to reduce bureaucracy, Cumulative Impact Policies have to be reviewed every 5 years (previously 3). In order to remain relevant and legally applicable, Licensing Authorities can agree local conditions which include annual evidential reviews.
Conclusions 2/2 Cumulative Impact Zones: Under a Licensing Act amendment 2012 intended to reduce bureaucracy, Cumulative Impact Policies have to be reviewed every 5 years (previously 3). In order to remain relevant and legally applicable, Licensing Authorities can agree local conditions which include annual evidential reviews. In these annual reviews, HaLO data can throw light on CIZ locality characteristics , which can then form general CIZ conditions.
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